In Coding
Jun 19th, 2018
There’s been a change to teaching physician documentation rules, effective Jan. 1, for claims to Medicare. And, those changes are to the benefit of teaching physicians. As explained in MLN Matters Number: MM10412 Revised: The Centers for Medicare & Medicaid Services (CMS) is revising the Medicare Claims Processing Manual, Chapter 12, Section 100.1.1, to update ...
In Audit
Jun 15th, 2018
Consider a career as a healthcare business professional. The hoopla of graduating high school is over, and now everyone is asking you, “What are you going to do next?” You might give the obligatory response, “Go to college,” because that’s what everyone expects. But is that the right answer? Learn a Trade that Pays Unless ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
In Billing
Jun 11th, 2018
According to an article posted by the American Health Lawyer’s Association, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) expects investigative recoveries of $1.46 billion for the first half of fiscal year (FY) 2018, the agency said in its semiannual report to Congress. Last year at this time, OIG reported more ...
May 31st, 2018
Aetna, bruised by a PHI breach where letters detailing a lawsuit settlement were sent to HIV-positive members revealing their status, is now suing the plaintiffs in the original 2014 class action lawsuit  for $20 million, blaming a consumer advocacy group and law firm for their woes. Aetna demands $20 million and indemnification from any actions related to the breach. ...